A nurse is teaching a client who has major depressive disorder about what to expect when undergoing electroconvulsive therapy. Which of the following information should the nurse give the client?
"You can expect to feel some pulsations in your neck during the procedure."
"You'll wake up about 30 minutes after the procedure."
"You might feel a bit confused for a few hours after the procedure."
"You might notice some changes in your voice after the procedure."
The Correct Answer is C
A. Feeling pulsations in the neck is not an expected sensation during electroconvulsive therapy (ECT). The client is under general anesthesia and does not feel the procedure.
B. The client typically wakes up within 5 to 10 minutes after ECT, though they may remain drowsy for a while. 30 minutes is too long for initial awakening.
C. Post-procedure confusion and memory loss are common and temporary side effects of ECT, lasting a few hours to days in some cases.
D. Voice changes are not associated with ECT. The procedure does not affect the vocal cords or speech.
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Related Questions
Correct Answer is D
Explanation
A. Varicella vaccine is given at 12–15 months and a second dose at 4–6 years. It is not given at 2 months.
B. Influenza vaccine is recommended annually starting at 6 months of age. It is not given at 2 months.
C. Hepatitis A vaccine is given at 12–23 months, with a second dose 6 months later. It is not given at 2 months.
D. Rotavirus vaccine is routinely given at 2 months and again at 4 months (and possibly 6 months depending on the vaccine type). This is the correct answer.
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}
Explanation
The nurse should prepare to administer naloxone and oxygen by face mask 10 L/min.
Rationale:
- Naloxone is used to reverse opioid-induced respiratory depression, which is a potential risk during moderate sedation.
- Oxygen by face mask 10 L/min is necessary to maintain adequate oxygenation during and after sedation, as respiratory depression can occur.
- Acetaminophen is not used for immediate management of sedation-related complications.
- An additional dose of fentanyl or propofol would deepen sedation, not manage its complications.
- Propranolol is a beta-blocker that is not indicated in this situation.
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